Penn Manor Medical Centre
Information for patients with regards to non-NHS services
We may make a charge for non-NHS services such as TWIMC (To
Whom It May Concern) letters, claim forms and holiday
cancellation forms. Please see the professional fee price list in the
waiting room for guidance or speak to the Secretaries.
Examples of non-NHS services for which GPs can charge their own
NHS patients are:
Letters to state patients are fit to fly (if requested by holiday
Reports for health clubs to certify that patients are fit to
Letters to state patient have to carry certain
medication/needles with them on a flight
Questions you may ask:
Isn’t the NHS supposed to be free?
The National Health Service provides most health care to most people
free of charge, but there are exceptions: prescription charges have
existed since 1951 and there are a number of other services for which
fees are charged. Some services are not covered by the NHS, for
example, providing copies of health records or producing medical
reports for insurance companies.
Surely the Doctor is being paid anyway?
It is important to understand that many GPs are not employed by the
NHS; they are self-employed and they have to cover their costs - staff,
buildings, heating, lighting, etc - in the same way as any small business.
The NHS covers these costs for NHS work, but for non-NHS work, the
fees charged by GPs contribute towards their costs.
We accept cash or cheques made payable to ‘Penn Manor Medical Centre’
Thank you for your kind co-operation.